Cumberland Family Medical Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Versailles, KY
NPI 1487061982 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1487061982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 700172 (KY)
- Legal business name
- CUMBERLAND FAMILY MEDICAL CENTER INC
- Practice address
- 360 Amsden Ave
Versailles, KY 40383-1851 - Phone
- (502) 227-2229
- Fax
- (502) 227-1114
- NPI assigned
- Jul 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Eric E Loy, MD
- Title
- Ceo
- Phone
- (270) 858-6655
Practitioners 1
-
Elizabeth Hurt, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000433 | KY | Part B Supplier - Clinic/Group Practice | 6305947789 |
Receives reassigned benefits from 287 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 700172 | KY | Yes |
Addresses
Primary practice location
360 Amsden Ave
Versailles, KY 40383-1851
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017280 | Medicaid | KY |
Other names
- WOMEN'S CARE OF THE BLUEGRASS
Other providers in Versailles, KY
- Tamela Bright Craig
- Bethany Criscillis
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Alexis Nicole Dale
All providers in Versailles, KY · Federally Qualified Health Center (FQHC) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.